| NPI | 1922016351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME82249) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: DE C10006007) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D42603) | |
| 207R00000X Internal Medicine (Licence: FL ME82249) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2025-02-07 |